ANDREW ANTHONY HENNEBERG (MD) – Obstetrics & Gynecology Physician, NPI 1689603847
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
201 OBSTETRICS/GYNECOLOGY in ID
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Provider Addresses for ANDREW ANTHONY HENNEBERG (MD)
Chinook Medical Building, 980, West Ironwood Drive, Blackwell, Coeur d'Alene, Kootenai County, Idaho, 83814, United States
SUITE 201
COEUR D ALENE, ID 83814
Phone: (208) 765-4888
Fax: (208) 667-8618
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $703.
Total Amount is formed as General ($703) + Research ($0) + Ownership ($0) = $703.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Astellas Pharma US Inc ($331).
Total Amount
$703
General + Research + Ownership
Payments
49
Total payment records
General Amount
$703
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $331 |
| Hologic Sales and Service, LLC | $142 |
| Exact Sciences Corporation | $49 |
| Sumitomo Pharma America, Inc. | $46 |
| Organon LLC | $31 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060927000500 | I | Obstetrics/Gynecology | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 34 | 24 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 16 | 16 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 11 | 11 | $0 |
Insurance plans in this area (ZIP 83814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| Certified Nurse Midwife (Cnm) | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| Certified Nurse Midwife (Cnm) | ID | |
| - | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID |
Reviews
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